-- JON G DIVINE -- M.D.
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1659391761- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 222 PIEDMONT AVE ML 0212, CINCINNATI, OH, 452194231
- Phone
- (513) 475-8690
- Fax
- (513) 475-7593
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: OH #35-070497